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Home My WebLink About2004 W 15th Street Address: 12004 W 15 th Street PREPARED 1/18/17, 12:18:50 INSPECTION TICKET PAGE CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/18/17 ------------------------------------------------------------------------------------------------ ADDRESS . : 2004 W 15TH ST SUBDIV: CONTRACTOR : PHONE OWNER BAUBLITS, SHIRLEY J PHONE PARCEL 06-30-00-1-0-7600-0000- APPL NUMBER: 16-00001024 RES MANUFACTURED HOME ------------------------------------------------------------------------------------------------ PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLBT 01 9/12/16 JLL BLDG MFG HOME BLOCK/TIEDOWNS 9/12/16 AP September 12, 2016 8:26:20 AM jlierly. 360-643-1876 josh September 12, 2016 4:11:47 PM jlierly. BL99 01 1/03/17 JLL BLDG FINAL 1/03/17 DA January 3, 2017 8:29:30 AM jlierly. Josh 360-643-1876 January 3, 2017 4:45:13 PM jlierly. Hand rail on stairs on west side/ Anti siphon on hose bibs/ Down spouts are missing splash blocks add a 90 deg turn on botoom to direct water onto block/ Crawl access required/jll BL99 02 1/18/17 BLDG FINAL - OVERRIDE TAKEN BY JLIERLY DATE: 01/18/17 TIME: 12:13:25 January 18, 2017 12:18:28 PM jlierly. John 643-1876 --------------------- ------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL5 01 9/12/16 JLL PLUMBING BUILDING SEWER 9/12/16 AP September 12, 2016 8:27:54 AM jlierly. September 12, 2016 4:11:47 PM jlierly. PL6 01 9/12/16 JLL PLUMBING WATER SUPPLY 9/12/16 AP September 12, 2016 8:27:17 AM jlierly. September 12, 2016 4:11:47 PM jlierly. PL99 01 1/03/17 JLL PLUMBING FINAL 1/03/17 DA January 3, 2017 8:30:00 AM jlierly. January 3, 2017 4:45:13 PM jlierly. Hand rail on stairs on west side/ Anti siphon on hose bibs/ Down spouts are missing splash blocks add a 90 deg turn on b.toom to direct water onto block/ Crawl access required/jll PL99 02 1/18/17 PLUMBING FINAL - OVERRIDE TAKEN BY JLIERLY DATE: 01/18/17 TIME: 12:13:57 January 18, 2017 12:18:57 PM jlierly. ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION C19 ) 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00001024 Date 7/27/16 Application pin number . . . 606656 - Property Address . . . . . . 2004 W 15TH ST ASSESSOR PARCEL NUM13ER: 06-30-00-1-0-7600-0000- REPORT SALES TAX Application type description RES MANUFACTURED HOME on your state excise tax fon77 Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL TRAI LER PARK (Location Code 0502 Application valuation . . . . 3500 --------------------------------------------------------------------------- Application desc setup manufactured home 141 x 561 skyline ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BAUBLITS, SHIRLEY J OWNER PO BOX 1073 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- Permit . . . . . . BL MANUFACTURED HOME Additional desc Permit Fee . . . . 230.00 Plan Check Fee .00 Issue Date . . . . 7/27/16 Valuation . . . . 3500 Expiration Date 1/23/17 Qty Unit Charge Per Extension . .................................BASE_FEE 230.00 ---- -------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . WATER LINE Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 7/27/16 Valuation . . . . 0 Expiration Date 1/23/17 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL-WATER LINE 7.00 ---------------------------------------------------------------------------- Special Notes and Comments Public Works Utility Engineering has no requirements for this plan review. A backflow device is required when a fire sprinkler system is installed (except for open systems) . Backflow devices are required when lawn sprinkler systems are installed. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------ --- ----- ------ ------ --- --- Permit Fee Total 287.00 287.00 00 00 Plan Check Total .00 .00 .00 .00 Grand Total 287.00 287.00 .00 .00 Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.� Date e�'Z�&t Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PIN I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE For City Use CITY OF N.G,,F- P> A- Permit# (9 3L4 W A S H I N G T 0 N, U. S. Date Received: '7- 6, --- 321 E 51h Street Date Approved n r': Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsOcityofoa.us BUILDING PERMIT APPLICATION Project Address: 6 JPhone: Z(00 -(oLJ'J- 11q?Lp Primary Contact: k--42-f /:!- - Email: Na Phone 7 uvs-It-tv &'Q :3(oo &-/(oo-7gV�- Property M ing Address r Email Owner Itz) s4w /Q Cit State 4v,gar- Name Phone Address kmail Contractor - —AZb A��' /. Information city z!�'c go kV State %IVA zip Exp.Date: 7 rContractor License# k 0 '2- L I Legal Description: Zoninp: Tax Parcel# Project Value: (materials and labor) soo Residential Commercial 11 Industrial El / I Public Permit Demolition Fire 11 Repair 11 Reroof(tear off/lay over) Classification For the following,fill out both pages of permit application: (check New Construction 11 Exterior Remodel 1:1 Addition M Tenant Improvement appropriate) Mechanical 1:1 Plumbing 11 Other 11 rooms I Proposed Bedroom Fire Sprinkler System Proposed Irrigation System Proposed or roposed Bath s or Existing� Yes 0 No 13 1 Existing? Yes 13 No 0 "L In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www stormwater@—cityofpa-us Project Description Q&-CL� 40 A/ Is project in a Flood Zone: Yes No Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. /07 A -7- & -/ (r Date Print Name Signature4 "'� 10 Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2�,d floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov lot size) Max Bldg Height i�Tl all structures sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov�lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler I Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # I repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplac e/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit I Plumbing Fixtures Indicate how many of each type of fixtu e to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment Other(describe): - interceptor(Grease Trap) Size T:\Forms\201S CED Form Updates\Building&Permitting\BP\Building Permit 201SO41S.docx /3 2009 2005 0 2003 I a 2020 2016 2012 2008 2004 CITY OF PORT ANGELESr-Construction PIUM The Issmince ofthis perinit bascd Upon these plaftS 2009 specillicaiionsand other data shall not prevent the 2003 building official from therealler requiring tho correction of errors in said plans.specifications and other data. or 1'rorn preventing building operations carried on thereunder when in violation of au beinL codes and ordinances ofthisjurisdiction. 2005 ALLWORKS jLc,r TO FIELD APPROVAL y_, 2003 76,' Co L b L 0-c",L Sk-t eL,�+- LJ&4-,, {-I L ,.j W,40.,